Maryland Patient Safety Center

Perinatal & Neonatal Safety

In 2022, over 1,000 pregnancy-related deaths occurred across the U.S. and over 80% of those were preventable. Furthermore, each year 50,000-60,000 birthing people experience severe pregnancy-related events which must be reviewed for opportunities to improve. Maternal health and disparities in perinatal outcomes are a high priority in Maryland, and also nationwide. 

Join MPSC throughout the year for virtual webinars, patient safety tools courses, confidential and protected roundtable discussions for shared and experiential learning, and safety reviews tailored for high priority adverse events in the maternal and child health space and on Labor and Delivery units.

Perinatal Safety  Series

This series of easy-to-consume virtual webinars will highlight emerging patient safety trends and issues of critical need in the Emergency Department.  The webinars will identify innovative strategies and implementation techniques to support ED teams in meeting their quality and safety goals and harm reduction.

Safety Series webinars are held from 12:00 – 1:00 pm EST.

Safe Tables

Safe Tables are a shared learning forum for peers to exchange patient safety experiences, discuss best practices, network and learn from each other in an open, uninhibited and legally protected environment.

Safe Tables are open to MPSC members only and are held in-person from 1:00 – 3:00pm EST.

Patient Safety Tools

Many healthcare professionals, particularly quality and safety leaders, use a variety of patient safety tools and techniques daily to ensure the delivery of highly-reliable care; but these tools also offer implementable, effective, and practical applications for front-line healthcare workers to improve patient safety systems and processes.

Patient Safety Tools courses are held virtually from 12:00 – 2:00 pm EST.

Perinatal Safety Fellowship

The Maryland Patient Safety Center is offering a year long Perinatal Quality and Safety fellowship. The Fellowship will begin in September, 2024 and help participating individuals design, implement, evaluate, and disseminate a perinatal quality improvement project aimed at improving outcomes and reducing disparities at their organization.

Learn More and Apply
Click here for information on our partnership with Count the Kicks, an evidence-based stillbirth prevention program to educate expectant parents in Maryland on the importance of tracking a baby’s movements daily during the third trimester of pregnancy.

MPSC in the News

WJZ Baltimore News   I    June 27, 2023
WEAA FM Radio Interview with Gabe Ortiz   I   June 22, 2023

Organizations should be using data to drive improvement. Unfortunately, data on perinatal processes and outcome measures can be hard to come by. During this one-hour webinar, we will discuss how to create a basic dashboard and leverage data from core perinatal measures to begin to build a solid foundation for a perinatal quality structure– driving improvement, increasing provider and staff engagement, and improving safety. Two organizations will share their dashboards and how they have used perinatal data.  

The Obstetrics and Women’s Department at LifeBridge Sinai Hospital observed increased surgical site infections (SSIs) after cesarean delivery in 2021-2022. The problem was identified through staff reporting patient readmissions and quality reviews. An interdisciplinary team established a quality goal to decrease the incidence of SSI. An SSI prevention bundle was developed and implemented incrementally, which resulted in a decrease in SSIs. During this one-hour webinar, project leaders, and Minogue Award for Patient Safety Innovation Circle of Honor winners, will describe the background and significance of surgical site infections after cesarean delivery; how an evidence-based prevention bundle can impact outcomes; and the strategies to sustain practice change.  

This one-hour webinar will detail how Minogue Award for Patient Safety Innovation Circle of Honor winners, Greater Baltimore Medical Center, used principles of the Lean Management System to redesign care for patients experiencing postpartum hemorrhage, leading to improved outcomes and decreased severe maternal morbidity.  

Over 50% of maternal deaths occur in the postpartum period. Necessitating awareness of -and collaboration on- obstetrical emergencies by non-obstetric health care providers. This presentation will explore ways to cultivate a culture of safety for maternal patients presenting to the emergency department and other outpatient areas. This one-hour webinar from Minogue Award for Patient Safety Innovation Circle of Honor winners, LifeBridge Health Carroll Hospital Center, will outline the implementation of a standard workflow and how improved utilization of existing resources can improve perinatal outcomes and patient satisfaction. 

This one-hour webinar aims to increase readiness to treat and support the Amniotic Fluid Embolism (AFE) patient, their families, and one another during and after an AFE event. It also provides a closer lookat the current research and how healthcare teams can support the clinical research needed to prevent, predict, and treat AFE.  

MPSC operates a listserv for healthcare professionals with an interest in perinatal and neonatal patient safety. The listserv offers a network for shared and experiential learning and is used by MPSC to share upcoming events and information specific to safety in this specialty. MPSC members may use the listserv to pose questions to the group in order to garner feedback, solutions, and gain consensus on topics related to quality and safety in the maternal and child health space and on labor and delivery units. Please contact mpsc@marylandpatientsafety.org to be enrolled.
The Maryland Patient Safety Center has built a library of perinatal patient education. Here you will find videos, handouts, and quick references on urgent maternal warnings, self-advocacy in maternal health and follow up after obstetric complications.